Individual
DR. JESSICA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1052 ROTHERWOOD DR, KINGSPORT, TN 37660-7256
(423) 480-7811
(423) 480-7811
Mailing address
1052 ROTHERWOOD DR, KINGSPORT, TN 37660-7256
(423) 480-7811
(423) 480-7811
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
142807360
TN
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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